Jennifer Finstad Clarke, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00001421 Issued in WA

Practice address

406 S 1St St Ste 300
Mount Vernon, WA 98273-3897

Phone

(360) 336-2593

Fax

(360) 336-3270

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Health

  • Community/Behavioral Health Agency
  • Everett, WA
  • NPI 1730136201
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1962566786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S 1ST ST STE 300",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733897",
            "telephone_number": "360-336-2593",
            "fax_number": "360-336-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S 1ST ST STE 300",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733897",
            "telephone_number": "360-336-2593",
            "fax_number": "360-336-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JENNIFER",
        "middle_name": "FINSTAD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "00001421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "306680001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "06247",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan W Clark, PA-C
• Cassandra Clark
• Christina Clark, PA-C
• Leah Clark, LMP
• Elizabeth Anne Clarke
• Juana Cleek, RN
• Ciera A. Cline, PA-C
• Caryn Anne Clippert, PA-C
• Misty L Clopot, LPN
• Coastal Counseling Services

• Clinical Psychologist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.